Dermatology Associates of Oklahoma LLC

NPI #1316331986 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1316331986
Entity Type: Organization
Organization Name: Dermatology Associates of Oklahoma LLC
Primary Specialty: Dermatology
Enumeration Date: Mar 23, 2015
Last Updated: Mar 24, 2015

Practice Location

Address: 3130 SW 89TH ST
Address 2: STE. 100
City: Oklahoma City
State: Oklahoma
ZIP Code: 73159-7908
Phone: (405) 703-2060

Authorized Official

Name: ROBERT NEVIN
Title: AUTHORIZED OFFICIAL
Phone: (918) 492-6333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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